The protective phase refers to the first few days after injury. You're still in pain and you may have noticeable swelling and bruising in the affected area. The protection phase, the first phase of recovery, can last from two to four days, depending on the severity of the injury. This is the recovery phase of “rest and protect”.
This stage includes swelling and possible bleeding around the affected area. Your body's goal here is to protect your injury from further damage by limiting movement and recruiting supportive tissues to relieve additional pressure. If you have suffered a severe ankle sprain, the protection phase may involve wearing a compression bandage or crutch for a few days and avoiding activities that increase pain or swelling. If you have had a knee injury, the initial protection phase may involve bandaging your knee and having an exam to better understand the extent of the injury.
The next phase of recovery is the repair phase. This happens after swelling or bleeding has subsided and usually lasts up to six weeks after the injury. In this phase, the body is depositing new scar tissue. This reduces the need to protect the injury as the new scar tissue matures and strengthens.
The next stage is the remodeling phase. It usually lasts six weeks to three months after the injury. In this phase, the body begins to teach scar tissue to behave like the tissue it has replaced. It produces additional new tissue to help strengthen and support scarred scar tissue so you can keep up with the demands of your normal physical activity.
Phase II Starting ROM and Resuming Cardio Training. Floyd's pulmonary rehabilitation program is generally a three-phase treatment process. Most people are surprised to find out how their injury and the ensuing recovery period can lead to muscle weakness and loss of stamina. Objective measures of muscle weakness and wasting are commonly observed after injury and surgery within 4 to 6 weeks.
Minimizing muscle loss and strength deficits are important rehabilitation goals set out in your physical therapy program. We can begin to progress to phase 2 when the pain is greatly reduced, the knee movement is approaching normal, and it can constantly activate the key muscles around the knee and hip. Depending on the injury, this may take a 60-minute session or several weeks. Every person and every injury is different, and while the right approach can speed up the healing process, certain aspects of anatomy cannot be rushed.
We found that most traditional rehabilitation programs fail at several points in this process. Often, pain generators are not properly addressed, which can lead to impaired muscle activation and impaired movement biomechanics. Therefore, it is essential to address all elements of phases 1 and 2.However, where we see that traditional rehabilitation most often fails is by completely neglecting Phase 3. Phase 3 is all about building bulletproof knees, for life.
This phase is based on the previous phases. Consistency in muscle activation, balance, motor control and force absorption is ensured by strategically programmed warm-ups. Phase 1 and 2 elements are consistently monitored over time. We do this because we have clinically discovered that, without constant training, factors addressed in phases 1 and 2 can return.
You won't feel like you have to go do your physical therapy exercises forever. We incorporate key exercises into the DNA of Phase 3 to make it easier to maintain consistency. We believe that properly dosed heavy load on muscles, tendons, bones and joints is essential for later stages of rehabilitation. If you only complete phases 1 and 2, you're likely to feel better, but you're at high risk of recurrence.
Heavy load is a stimulus that forces additional adaptation, such as collagen reorganization or increased muscle cross-sectional area. With an adequate load, we can improve the resilience of your musculoskeletal system. Cannot be completed within the limits of a traditional 4-6 week course of physiotherapy. This strength training is always tailored to individual goals, skill level and sport.
For athletes who want to play again, Phase 3 also adds sport-specific, high-speed motion and plyometric training. You should challenge your knee in real-life situations and practice movement and reaction to unpredictable circumstances in a safe environment, before returning to higher-risk activities. Finally, Phase 3 incorporates evidence-based testing to ensure injury risk factors are managed. Examples of this are the fold jump evaluation, the star or Y balance tests and the single leg jump tests.
These tests should be monitored over time and addressed as needed. This phase starts around 21 days and can continue for 6 to 12 months. The result of the previous phase is the replacement of damaged tissue by collagen fibers. After those fibers are deposited, the body can begin to reshape and strengthen the new tissue, allowing the athlete to gradually return to full activity.
This rehabilitation phase represents the beginning of the conditioning process necessary to return to sports training and competition. Understanding the demands of a particular sport becomes essential, as well as communication with the coach. This phase also represents an opportunity to identify and correct risk factors, thus reducing the chance of re-injury. Objectives during the second phase of rehabilitation include limiting impairment and recovering from functional losses.
This phase of injury rehabilitation may include restoring coordination and balance, improving speed, agility, and sport-specific skills that progress from simple to complex. Therefore, exercise involving the injured area during this phase is not recommended, although there are some exceptions, such as tendinopathy protocols used to rehabilitate Achilles tendon and patellar tendon injuries. The extent of functional loss may be influenced by the nature and timing of therapeutic and rehabilitation intervention during the initial phase of the injury. For example, thermotherapy (heat therapy) may be contraindicated for tendinitis during the initial phase of the exercise program.
This leads to Phase 5 of the rehabilitation process, which gradually returns the athlete to full activity. Phase III Restore ROM, improve strength and endurance, proprioception, continue cardiovascular training, should be close. . .
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